焦作市城镇居民糖尿病知晓率、治疗率、控制率及其影响因素分析

发布时间：2018-12-29 19:46

【摘要】：目的本研究的目的是了解河南省焦作市城镇居民糖尿病知晓率、治疗率、控制率及健康行为具备情况,并分析其影响因素,为制定合理的提高城镇糖尿病患者三率方案提供理论依据,最终促进健康行为的形成,达到减低糖尿病患病率。方法对河南省焦作市城区所辖的2个城区中的1626名糖尿病患者进行调查。应用标准问卷询问糖尿病患者病史和治疗情况,以及人口学特征、生活习惯、疾病家族史等,通过实验室检查获得糖尿病患者血糖控制情况。使用Epidata3.0建立数据库,运用SPSS18.0统计软件对研究对象的社会人口学特征进行描述性分析,采用logistic回归分析糖尿病知晓率、治疗率和控制率的影响因素。结果1、焦作市城镇糖尿病患者病情知晓率、治疗率、控制率现况在焦作市城镇社区1626名糖尿病患者中,46.74%知晓自己患有糖尿病,42.07%接受控制血糖药物治疗,只有14.02%的糖尿病患者血糖控制在达标范围内。2、糖尿病患者知晓率、治疗率、控制率影响因素分析多因素logistic回归分析发现,随着年龄的增加糖尿病知晓水平逐渐增高;月收入在2000~2999元(OR=1.68,95%CI:1.23~2.29)和3000元以上(OR=1.75,95%CI:1.29~2.37)更可能知晓自己患有糖尿病;饮酒人群知晓自己患糖尿病的可能性是不饮酒人群的0.57倍(95%CI:0.38~0.86);而具有糖尿病家族史的糖尿病患者更可能知晓自己患有糖尿病(OR=2.43,95%CI:1.64~3.59)。年龄在45~54岁之间(OR=1.99,95%CI:1.32~2.99)、55~64岁之间(OR=2.89,95%CI:1.96~4.28)、65岁及以上(OR=4.28,95%CI:2.86~6.40)的患者更可能进行治疗;女性糖尿病患者进行治疗可能性低(OR=0.66,95%CI:0.52~0.83);收入在2000~2999之间、高于3000元糖尿病人群更倾向于对疾病进行治疗;而饮酒人群对疾病进行治疗的可能性更低(OR=0.48,95%CI:0.31~0.74)。血脂异常人群对于病情控制较差(OR=0.37,95%CI:0.28~0.50),65岁以上人群对于病情的控制较好(OR=2.50,95%CI:1.42~4.42),女性糖尿病患者病情控制的可能性是男性患者的0.55倍(95%CI:0.39~0.76);饮酒患者病情控制的可能性是非饮酒患者的0.41倍(95%CI:0.20~0.86),而高脂饮食人群病情控制的可能性是非高脂饮食患者的0.41倍(95%CI:0.24~0.69)。结论1、焦作市城镇居民人群糖尿病患病情况知晓率为46.74%,治疗率为42.07%,控制达标率为14.02%。2、年龄增加、收入增加、具有糖尿病家族史者更可能知晓自己糖尿病患病情况,饮酒糖尿病患者不易知晓自己的患病情况。3、高年龄、高收入、男性患者人群接受糖尿病治疗的可能性更高,而饮酒糖尿病人群接受治疗的可能性低。4、男性、老年糖尿病人群对血糖水平的控制较好,而血脂异常、饮酒、高脂饮食的糖尿病人群将血糖控制在正常范围的可能性低。
[Abstract]:Objective to investigate the awareness rate, treatment rate, control rate and health behavior of diabetes mellitus among urban residents in Jiaozuo City, Henan Province, and to analyze its influencing factors. It provides the theoretical basis for making a reasonable plan to increase the three rates of diabetes mellitus patients in urban areas and finally promotes the formation of healthy behavior and reduces the prevalence rate of diabetes mellitus. Methods 1626 diabetic patients in 2 urban districts of Jiaozuo City, Henan Province were investigated. The standard questionnaire was used to inquire about the history and treatment of diabetes mellitus, as well as demographic characteristics, living habits, family history of disease, and so on. The blood glucose control of diabetic patients was obtained by laboratory examination. Epidata3.0 was used to establish database, SPSS18.0 software was used to describe the demographic characteristics of the subjects, and logistic regression analysis was used to analyze the influencing factors of diabetes awareness rate, treatment rate and control rate. Results 1. Among the 1626 diabetic patients in Jiaozuo urban community, 46.74% knew they had diabetes, 42.07% were treated with blood glucose control drug. 1. The awareness rate, treatment rate and control rate of diabetes mellitus patients in Jiaozuo City were 46.74%, 42.07% respectively. Only 14.02% of patients with diabetes were controlled within the range of standard. 2. The awareness rate, treatment rate and control rate of diabetes mellitus patients were analyzed by multivariate logistic regression analysis. The results of logistic regression analysis showed that the level of diabetes awareness gradually increased with the increase of age. Monthly income of 2, 000,999 yuan (OR=1.68,95%CI:1.23~2.29) and more than 3000 yuan (OR=1.75,95%CI:1.29~2.37) is more likely to know he has diabetes; Drinkers were 0.57 times more likely to know that they had diabetes (95%CI:0.38~0.86) than non-drinkers. Diabetic patients with a family history of diabetes were more likely to know they had diabetes (OR=2.43,95%CI:1.64~3.59). Patients aged between 45 and 54 years (OR=1.99,95%CI:1.32~2.99), 55 to 64 years old (OR=2.89,95%CI:1.96~4.28) and 65 years old and older (OR=4.28,95%CI:2.86~6.40) were more likely to receive treatment. The possibility of treatment in female diabetic patients was low (OR=0.66,95%CI:0.52~0.83), and the income was between 2000 and 2999, which was higher than that of 3000 yuan diabetic patients. Drinkers were less likely to treat the disease (OR=0.48,95%CI:0.31~0.74). The patients with dyslipidemia had poor control (OR=0.37,95%CI:0.28~0.50), and those over 65 years old had better control (OR=2.50,95%CI:1.42~4.42). The rate of disease control in female diabetic patients was 0.55 times higher than that in male patients (95%CI:0.39~0.76). The rate of disease control in alcohol drinkers was 0.41 times higher than that in non-alcohol drinkers (95%CI:0.20~0.86), while that in high-fat diet patients was 0.41 times higher than that in non-high-fat diet patients (95%CI:0.24~0.69). Conclusion 1. The awareness rate of diabetes mellitus in the urban population of Jiaozuo is 46.74, the treatment rate is 42.07, the control rate is 14.02. 2, the age increases and the income increases. People with a family history of diabetes were more likely to know about their diabetes, and people with alcohol and diabetes were less likely to know what they were suffering from. However, the possibility of alcohol drinking and diabetes treatment was low. 4. Men and elderly diabetes patients had better control of blood glucose level, while those with abnormal blood lipids, drinking alcohol and high fat diet were less likely to control blood sugar in normal range.
【学位授予单位】：新乡医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R587.1

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